Wiki Billing 20611 and 64418 Together

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I work for pain management doctors and they have been billing 20611 and 64418. The 64418 keeps getting denied out does anyone know if these two codes can be billed together?
 
I agree with you Sara

I agree with you Sara......64418 warrants the use of modifier 59.

Thank you,
Rajinder Singh Dhammi, CPC
 
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